Organization
QPH, INC
Active
Other names
d/b/a Holliswood Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN ESKENAZI MA, CASAC, CPHQ (CHIEF EXECUTIVE OFFICER)
(718) 776-8181
Entity
Organization
Contact information
Practice address
8737 PALERMO ST, HOLLIS, NY 11423-1221
(718) 776-8181
(718) 776-8551
Mailing address
8737 PALERMO ST, HOLLIS, NY 11423-1221
(718) 776-8181
(718) 776-8551
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
7643020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004202
BLUE CROSS
NY
05
—
01428197
—
NY
Enumeration date
06/10/2006
Last updated
01/08/2013
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